Evidence map›Paper›PMID 38381224›Full record

ArticleDigestive diseases and sciences2024

Early Graft Failure After Living-Donor Liver Transplant.

Ahmad Anouti, Moustafa Al Hariri, Lisa B VanWagner, William M Lee, Arjmand Mufti, Mark Pedersen, Jigesh Shah, Steven Hanish, Parsia A Vagefi, Thomas G Cotter and 1 more

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In one paragraph

Article in Digestive diseases and sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Guideline
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Ahmad AnoutiDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX, USA.
Moustafa Al HaririQatar University Health Cluster, Qatar University, Doha, Qatar.
Lisa B VanWagnerDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX, USA.
William M LeeDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX, USA.
Arjmand MuftiDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX, USA.
Mark PedersenDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX, USA.
Jigesh ShahDepartment of Surgery, UT Southwestern Medical Center, 5959 Harry Hines Blvd, HP04.102, Dallas, TX, 75390, USA.
Steven HanishDepartment of Surgery, UT Southwestern Medical Center, 5959 Harry Hines Blvd, HP04.102, Dallas, TX, 75390, USA.
Parsia A VagefiDepartment of Surgery, UT Southwestern Medical Center, 5959 Harry Hines Blvd, HP04.102, Dallas, TX, 75390, USA.
Thomas G CotterDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX, USA.
Madhukar S PatelDepartment of Surgery, UT Southwestern Medical Center, 5959 Harry Hines Blvd, HP04.102, Dallas, TX, 75390, USA. Madhukar.Patel@UTSouthwestern.edu.ORCID http://orcid.org/0000-0001-7508-899X
Southwestern Medical Center · USSouthwestern Medical CenterQatar University · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiving-donor liver transplantation (LDLT) has been increasing in the USA. While data exist on longer-term patient and graft outcomes, a contemporary analysis of short-term outcomes is needed.

aimEvaluate short-term (30-day) graft failure rates and identify predictors associated with these outcomes.

methodsAdult (≥ 18) LDLT recipients from 01/2004 to 12/2021 were analyzed from the United States Scientific Registry of Transplant Recipients. Graft status at 30 days was assessed with graft failure defined as retransplantation or death. Comparison of continuous and categorical variables was performed and a multivariable logistic regression was used to identify risk factors of early graft failure.

resultsDuring the study period, 4544 LDLTs were performed with a graft failure rate of 3.4% (155) at 30 days. Grafts from male donors (aOR: 0.63, CI 0.44-0.89), right lobe grafts (aOR: 0.40, CI 0.27-0.61), recipients aged > 60 years (aOR: 0.52, CI 0.32-0.86), and higher recipient albumin (aOR: 0.73, CI 0.57-0.93) were associated with superior early graft outcomes, whereas Asian recipient race (vs. White; aOR: 3.75, CI 1.98-7.10) and a history of recipient PVT (aOR: 2.7, CI 1.52-4.78) were associated with inferior outcomes. LDLTs performed during the most recent 2016-2021 period (compared to 2004-2009 and 2010-2015) resulted in significantly superior outcomes (aOR: 0.45, p < 0.001).

conclusionOur study demonstrates that while short-term adult LDLT graft failure is uncommon, there are opportunities for optimizing outcomes by prioritizing right lobe donation, improving candidate nutritional status, and careful pre-transplant risk assessment of candidates with known PVT. Notably, a period effect exists whereby increased LDLT experience in the most recent era correlated with improved outcomes.

Indexed as

Liver TransplantationAdultGraft SurvivalHumansLiving DonorsMaleRetrospective StudiesRisk FactorsTreatment OutcomeUnited StatesGraft failureLiver transplant (LT)Living-donor liver transplant (LDLT)Portal vein thrombosis (PVT)ReTransplantation

Identifiers

PMID38381224
OpenAlexW4391995288

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.